[Retirement of creatinkinase MB].
The introduction of a new test is often slow and obsolete tests are hard to get rid of. After nearly 20 years, the cardiac proteins troponin I and T have not yet replaced the old creatinin kinase myocardial band (CK-MB). International guidelines now recommend the use of troponin as marker for myocardial necrosis and only CK-MB when troponin is not available. However, 23 of 46 Danish laboratories still use CK-MB. The additional cost thus incurred could be used for other beneficial purposes. It is recommended to follow the international guidelines.
Szecsi
Pal Bela
PB
Klinisk Biokemisk Afdeling, Gentofte Hospital, DK-2900 Hellerup. PALSZE01@geh.regionh.dk
D015415:Biomarkers / Q000097:blood*; D003402:Creatine Kinase / Q000097:blood*; D003718:Denmark; D019983:Guideline Adherence; D006801:Humans; D007527:Isoenzymes; D009203:Myocardial Infarction / Q000097:blood* / Q000201:enzymology / Q000473:pathology; D019210:Troponin I / Q000097:blood*; D020107:Troponin T / Q000097:blood*
D015415:Biomarkers; D007527:Isoenzymes; D019210:Troponin I; D020107:Troponin T; D003402:Creatine Kinase